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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
1984-2-14
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pubmed:abstractText |
This study examines the use of nonpsychiatric services by mentally ill persons following the receipt of specialized mental health care, frequently referred to as the "offset effect." A total of 9,761 persons enrolled during 1975 in the Columbia Medical Plan, a prepaid group practice in Columbia, Maryland, were studied over a 5-year period. Enrollees were classified into three groups: Treated--mental disorder diagnosis in 1975 and specialized mental health care in 1975; Untreated--mental disorder diagnosis in 1975 but no specialized mental health care in that year; and Comparison--neither mental disorder diagnosis nor specialized mental health care in 1975. The nonpsychiatric utilization for these groups was compared for 1973-1977. Specialized mental health care appears to have a short-term effect on nonpsychiatric utilization by attenuating the peak in use. Mentally ill persons without specialized mental health care in 1975 also reduced their use of nonpsychiatric services in 1976-1977. The utilization changes were more likely to occur in primary care departments, rather than nonpsychiatric specialty care departments. A diagnosis of mental disorder in either 1973 or 1974 was associated with a larger offset effect.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0025-7079
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
21
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1099-110
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:6656333-Adolescent,
pubmed-meshheading:6656333-Adult,
pubmed-meshheading:6656333-Age Factors,
pubmed-meshheading:6656333-Analysis of Variance,
pubmed-meshheading:6656333-Female,
pubmed-meshheading:6656333-Group Practice, Prepaid,
pubmed-meshheading:6656333-Health Services,
pubmed-meshheading:6656333-Humans,
pubmed-meshheading:6656333-Longitudinal Studies,
pubmed-meshheading:6656333-Male,
pubmed-meshheading:6656333-Maryland,
pubmed-meshheading:6656333-Medicine,
pubmed-meshheading:6656333-Mental Disorders,
pubmed-meshheading:6656333-Mental Health Services,
pubmed-meshheading:6656333-Middle Aged,
pubmed-meshheading:6656333-Primary Health Care,
pubmed-meshheading:6656333-Psychotropic Drugs,
pubmed-meshheading:6656333-Sex Factors,
pubmed-meshheading:6656333-Specialization
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pubmed:year |
1983
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pubmed:articleTitle |
A longitudinal study of offset in the use of nonpsychiatric services following specialized mental health care.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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